Tate, Seth Jacob
Tate, Seth Jacob is an individual health care provider with primary practice located at 10515 N Oracle Rd Ste 185 , Oro Valley AZ 85737-9378. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Tate, Seth Jacob can be contacted via phone (520) 585-5878.Contact Information
Primary practice address
10515 N Oracle Rd Ste 185
Oro Valley AZ 85737-9378
Phone: (520) 585-5878
Fax: (844) 205-6998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6170200-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201150077NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP4637 | Arizona |
Profile Details
| NPI number | 1659651172 |
|---|---|
| LBN Legal business name | Tate, Seth Jacob |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2011 |
| Last updated | Feb 6th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659651172 | NPPES |
| Other | Z90637 | MEDICARE | |
| Other | 03-1828 | MEDICARE | |
| MEDICAID | 731654 | MEDICARE | |
| Other | Z61788 | MEDICARE |
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